AWHONN ADVANCED FHM
COURSE EXAM WITH CORRECT
ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED
ANSWERSLATEST ALREADY
GRADED A+ 2025 – 2026
Which medications used with preterm labor can affect FHR
characteristics?
Betamethasone and terbutaline
What characterizes a preterm fetal response to interruptions in
oxygenation?
More rapid deterioration from Category I to Category II or III
Clinical decision-making at the bedside should include:
Integration of physiologic concepts with maternal-fetal assessment
findings
CASE STUDY D) MICHELLE. Michelle is a 31-year-old G1P0 at 38&6
who arrives to triage holding her abdomen while moaning in pain.
Michelle reports a history of normal BP during this pregnancy and opioid
use disorder. Abdominal pain started 12 hours ago and has increased in
intensity. Michelle has had loose stools and kept down water and
electrolyte drinks all day but continues to have the urge to have a bowel
movement. Vital signs: T 97F (36.6C), BP 165/105, HR 100, RR 23. The
nurse uses a doppler for intermittent auscultation during the evaluation,
, auscultating a regular fetal heart rate rhythm within a normal baseline
range. Michelle reports fetal movement. The nurse palpates Michelle's
abdomen as intermittently strong contractions with periods of relaxed
tone. Michelle reports more pain in right upper quadrant. WHICH
MICHELLE'S PRESENTING HISTORY, WHAT IS THE NURSE'S FIRST
PRIORITY CARE?
Reassess Michelle's blood pressure using the correct sized blood
pressure cuff
Michelles blood pressure continues to be elevated in the 165/105 to
180/110 range. Lab work is drawn and results are pending. Anticipated
medical care for Michelle includes:
Antihypertensive therapy
The perinatal team discussed Michelle's clinical picture with Michelle and
her sister, including her elevated lab results. Her epigastric pain remains
severe. The anticipated best plan of care includes admitting Michelle,
continuing with antihypertensive therapy, and;
Starting magnesium sulfate
Refer to tracing A-1. Which is the correct assessment of the admission
tracing?
Moderate variability
Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to:
Readjust the toco
Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
CORRECT INTERPRETATION OF THIS TRACING IS:
An oxygenated, neurologically intact fetus
Refer to tracing A-2. A high-priority intervention at this time is to:
Readjust the toco
One hour later, the nurse observed two 3 cm sized, thick dark blood
clots on the under pad. Silvia denied pain and her abdomen was soft to
palpation. Which component of oxygen transport to the fetus could
potentially be compromised by this bleeding?
Delivery
COURSE EXAM WITH CORRECT
ACTUAL QUESTIONS AND
CORRECTLY WELL DEFINED
ANSWERSLATEST ALREADY
GRADED A+ 2025 – 2026
Which medications used with preterm labor can affect FHR
characteristics?
Betamethasone and terbutaline
What characterizes a preterm fetal response to interruptions in
oxygenation?
More rapid deterioration from Category I to Category II or III
Clinical decision-making at the bedside should include:
Integration of physiologic concepts with maternal-fetal assessment
findings
CASE STUDY D) MICHELLE. Michelle is a 31-year-old G1P0 at 38&6
who arrives to triage holding her abdomen while moaning in pain.
Michelle reports a history of normal BP during this pregnancy and opioid
use disorder. Abdominal pain started 12 hours ago and has increased in
intensity. Michelle has had loose stools and kept down water and
electrolyte drinks all day but continues to have the urge to have a bowel
movement. Vital signs: T 97F (36.6C), BP 165/105, HR 100, RR 23. The
nurse uses a doppler for intermittent auscultation during the evaluation,
, auscultating a regular fetal heart rate rhythm within a normal baseline
range. Michelle reports fetal movement. The nurse palpates Michelle's
abdomen as intermittently strong contractions with periods of relaxed
tone. Michelle reports more pain in right upper quadrant. WHICH
MICHELLE'S PRESENTING HISTORY, WHAT IS THE NURSE'S FIRST
PRIORITY CARE?
Reassess Michelle's blood pressure using the correct sized blood
pressure cuff
Michelles blood pressure continues to be elevated in the 165/105 to
180/110 range. Lab work is drawn and results are pending. Anticipated
medical care for Michelle includes:
Antihypertensive therapy
The perinatal team discussed Michelle's clinical picture with Michelle and
her sister, including her elevated lab results. Her epigastric pain remains
severe. The anticipated best plan of care includes admitting Michelle,
continuing with antihypertensive therapy, and;
Starting magnesium sulfate
Refer to tracing A-1. Which is the correct assessment of the admission
tracing?
Moderate variability
Refer to tracing A-1. Based on this tracing, a necessary intervention
would be to:
Readjust the toco
Refer to tracing A-2. Oxytocin was infusing at 5 mU/min when the
provider arrived and ordered the oxytocin increased to 8 mU/min. A
CORRECT INTERPRETATION OF THIS TRACING IS:
An oxygenated, neurologically intact fetus
Refer to tracing A-2. A high-priority intervention at this time is to:
Readjust the toco
One hour later, the nurse observed two 3 cm sized, thick dark blood
clots on the under pad. Silvia denied pain and her abdomen was soft to
palpation. Which component of oxygen transport to the fetus could
potentially be compromised by this bleeding?
Delivery
